Pre Registration Form – Slots are filling up fast!

Please read in detail the following waiver and photo/video release forms. On the form you will be asked if you agree to the terms and electronically approve and sign-off on the following forms:

PARTICIPANT *

First

Last

Date of Birth *

Participants Age *678910111213 – 15 years old

Gender Identification *MaleFemalePrefer Not Answer

Kids T-shirt Size *SmallMediumLargeX-Large

Parents or Guardians Name *

Parent/Guardians Email *

Email

Confirm Email

Waiver and Agreements: Please read the following waivers and agreements carefully. They include release of liability and waiver of legal rights, and deprive you of the ability to sue certain parties. By agreeing electronically, you acknowledge that you have both read and understood all text presented to you as part of the registration process. Waiver release: I , my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS THE NON PROFIT ORGANIZATION OF STEAM YOUR DREAMS AND CREATIVE MINDSET PRODUCTIONS, LLC;* *

Email

Confirm Email

Photo video release: I, (full name to be place in the box just below) hereby grant STEAM Your Dreams and Creative Mindset Productions permission to use my likeness in a photograph in any and all of its publications, including but not limited to all of Creative Mindset Productions's printed and digital publications. I understand and agree that any photograph using my likeness will become property of Creative Mindset Productions and will not be returned.* *

Email

Confirm Email

Best phone number

Just in case we need to contact you.

Name of School *

Just in case we need to contact you.

School Grade Level *2nd3rd4th5th +

Storing of personal data?

• COPPA-COPPA imposes certain requirements on operators of websites or online services directed to children under 13 years of age, and on operators of other websites or online services that have actual knowledge that they are collecting personal information online from a child under 13 years of age. Click this check box if you under the age of 13.

Click this check box if you are under the age of 13

Comments or Questions – Any special information regarding certain needs and/or disabilities about your child that we should know about, please include it below

Does your child have a social media presence, if so, what is their AND your Twitch, Facebook, Youtube, Instagram, TikTok account?

What is your Nationality? Any second parent information you would like to provide?

Submit